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HomeMy WebLinkAboutSUBMITTED PAPERSAll APPLICABLE.'INFO MUST BE COMPLETED FQR APPLICATION TO BE ACCEPTED Date: ) SCANNED Permit Number: BY St. Lucie County Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: Address: V Legal Description:: Lcx C,04 - Ur% V �143,0 13 )aO1 f N0 111`71-)LP Property Tax ID #: 1 I - l D 1 Q I ! R ' (-)(7 (7) - Lot No. _ Site Plan Name: Block No. Project Name: La1_Q W(DC)d PCL(-K Setbacks Front Back: Right Side: Left Side: aitionai work to oe perrormeo under tnis permit - cnecK all tnat apply: _Mechanical _ Gas Tank _ Gas Piping —Shutters _ Windows/Doors Electric _ Plumbing _ Sprinklers _ Generator Total Sq. Ft of Construction:Sq. Ft.'of First Floor: _ Cost of Construction: $ 11 Q Utilities: —Sewer —Septic Building Height: Name C -VL(L r Address b0F) N►. ►hISCU 5 641 City: 'P� ill ex L e State: Zip Code: 3 Q(� 51 Fax: Phone No. 992. L[ ba - U"7U E-Mail: K1r),e_cY.v1e,'0-- Ob \ICL'h0D P Cc�M Fill in fee simple Title Holder on next page ( if different from the Owner listed above) _ Roof Name: Company: Address: City: State: Zip Code: Fax: Phone No. E-Mail: State or County License: If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable _ Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure is in which conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please.consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording our Notice of Commencement. NA A f Y Signature of owner/ Agent/ Lessee Signature of Contractor/License Holder STATE OF FLORIDA - STATE OF FLORIDA COUNTY OF COUNTY OF The for oing instr dent was acknowledged beformah§' The forgoing instrument was acknowledged before me this day of 20L by this day of 20_ by (Name of person acknowledging) (Name of person acknowledging) (Signature Notary Public- State f Flori a, m gig (Signature of Notary Public- State of Florida ) Personally Known O uced Identific t n Personally Known OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 7/2014 Property Appraiser - St.Lucie I Ay, FL Page 1 of 1 PROPERTY RECORD CARD Nicholas A Kloeckner Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification ��dCIE p'G Site Address: 7003 HIBISCUS RD ParcellD: 1301-613-0178-000-7 ye Sec/Town/Range: 12 :34S :39E Map ID: 13/12N Account*: 3279 Use Type: SF Res ,� •� Zoning: RS-4 City/Cnty: Saint Lucie County Ownership and Mailing Legal Description Owner: Nicholas A Kloeckner Christine M Kloeckner �AKEW©OD PARK-UNI I 1- BLK l45 LTV 1~I�`(NIHt�f4 Nr 12 _71�� �11j'P Address: 7003 Hibiscus Rd Fort Pierce FL 34951-1837 Sales Information Assessment 2014 Total Land and Building Date Price Code Deed Book/Page 2014 TRIM: 54300 Land Value: 6600 Acres: 0.24 1/10/2005 130000 00 WD 2171 / 0161 Assessed: 48822 Building Value: 48800 2/24/1989 50000 00 WD 0626 / 2893 Ag.Credit: 0 Finished Area: 1525 SgFt 7/1/1977 2500 01 CV 0271 / 2160 Exempt: 25000 Taxable: 23822 Taxes: 467.84 BUILDING INFORMATION Exterior Features View: RoofCover: SD - Dim Shingle RoofStruct: HP - Hip ExtType: HD+ - HD+ YearBlt: 1977 Frame: - Grade: D+ - D+ EffYrBit: 1977 PrimeWall: BM - Brk/Masonary StoryHght: 0010 -1 Story No.Units: 1 SecWall: - Interior Features BedRooms: 2 Electric: MX - MAXIMUM PrmintWall: DW - Drywall FuliBath: 2 HeatType: FHA - FrcdHotAir AvgHt/Fl: 1/2Bath: 0 HeatFuel: ELEC - Electric Prm.Flors: CU - Carpet %A/C: 100 %Heated: 100 %Sprinkled: 0 Special Features and Yard Items Land Information Type Y/S Qty. Units Qual. Cond. YrBlt. No. Use Type Type Measure Depth DWC - Driv-Concret Y 1 500 AV AV 1977 1 0100-SF Res BI -Front Ft 79 131 FNW6 - WOOD FEN 6' Y 1 174 AV AV 1977 UTL3 - UTILITY AVG Y 1 80 AV AV 1999 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED. 11 3 a CA--�) , http://www.paslc.org/paslc/pre.asp?prclid=130161301780007 9/30/2014 Planning & Development Services Department Building & Code Regulations 2300 Virginia Avenue Fort Pierce, Florida 34982 (772)462-1553 OWNER/BUILDER AFFIDAVIT DISCLOSURE STATEMENT F.S. 489.103 (7) EXEMPTIONS State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must provide direct, on -site supervision of the construction yourself. You may build or improve farm outbuildings, a one -family or two-family residence for your use and occupancy. You may also build or improve a commercial building at a cost not exceeding $75,000.00 as long as it is for your own use or occupancy. You may not build or improve said structures for the purposes of selling or leasing that building. If you sell or lease a building you have built or improved within one year after construction is complete, then a presumption is created that it was built or improved for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building; it is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Your construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. Initial I understand that the building official and inspectors are not there to design or give advice on how to meet the minimum code. Initial I understand that as an owner -builder that any contract disputes with sub -contractors and I must be handled in a civil court with the advice of an attorney. This department will not mitigate any contract disputes. Initial_ I understand that if I compensate any person or company for work performed they are required to be licensed in this jurisdiction. If for some reason they do not possess a license, I may be responsible and liable for the cost of the license. Initial I understand that if any person that is unlicensed and uninsured gets injured on my construction project - they may be entitled to workmen's compensation. I could be held liable for all doctor, lawyer and relate edical cost, which could include loss of wages during recovery from their injury. Initial To qualify for this exemption under this subsection, an owner must personally appear and sign the building permit application and initial the above. I hereby acknowledge that I have read and understand the above disclosure statement and that I further understand that any violation of the terms of the owner/builder exemption shall be reported by the Building and Zoning Department to the Florida State Department of Professional Regulation. Signed and acknowledged on this day of of 20 ULL. n I 1 e _ � /' Owner/Builder Signature STATE OF FLORIDA COUNTY OF i� The oregoir� instrument w / acknowledged before me this day of 20� T , by h r I who is personally kriown to me, or who has produced as identification. Signature of No Ty or Print Name ofNo y e Title: Notary Pu lic Commission Number __ SLCPDSD Revised 05/15/2014 78onded ' HUY 9 5N;0e3 02015 ers oQom, 140-04-��,W Tuesday, Sep 30, 2014 11:10 AM D 4 FILE, Copy